Deck 1: Why Study Social and Behavioral Factors in Public Health

Question 1

The New Public Health paradigm is best characterized by which of the following?
a. Changing the social conditions that underlie health
b. Interactions of host, agent and environment
c. Innovations in antibiotic therapy and medical technology
d. Environmental sanitation and improved nutrition

Answer 1

Changing the social conditions that underlie health

Question 2

In the Discussion and Implications section of a scientific paper on factors associated with underutilization of mammography, the authors discuss the clinical significance of their results. For example, they note that a doctor's recommendation to get a mammogram appears to be a critical factor in whether a woman received a mammogram in the past 12 months, and urge clinicians to play a larger role in referring women for mammography screening. This example illustrates what kind of scientific evidence?
a. Basic science
b. Intervention design, implementation and adaptation
c. Translation to practice
d. Secondary prevention

Answer 2

Translation to practice

Question 3

The research areas of infant mortality and adolescent pregnancy are most closely associated with which of the following social and behavioral science disciplines?
a. Anthropology
b. Sociology
c. Psychology
d. Demography

Answer 3

Demography

Question 4

Which of the following milestones in the history of social sciences in public health launched the health behavior change paradigm for public health intervention?
a. Alma Ata Conference on Primary Health Care
b. The Sanitary Movement
c. The Health Belief Model
d. The Ottawa Charter for Health Promotion

Question 5

Which of the following is a characteristic of systems thinking in public health?
a. Mechanistic models of prevention
b. Selective primary health care
c. Use of diverse information sources to plan for, prevent, monitor and control
d. Single factor models of disease causation

Question 6

The "new public health paradigm" is associated with what conceptual model of health? 3 points)
a. The germ theory of disease
b. The social ecology of health model
c. The environmental sanitation approach
d. The disease surveillance model

Question 7

The following developments contributed to the rise of the social ecology paradigm in medicine and public health EXCEPT:
a. Shift from infectious to chronic diseases
b. A greater understanding of the multifactorial nature of disease etiology
c. An increasing reliance on Koch's postulates to determine etiology
d. The expansion into new arenas of social welfare, including injury prevention and health consequences of political violence, to name two

Question 8

Which of the following repercussions of the Exxon Valdez oil spill did not occur?
a. Decline in traditional social relations
b. Increased reliance on subsistence activities
c. Increased prevalence of psychiatric disorders
d. Decline in perceived health status

Question 9

An important finding of the case study on applying the ecological model to formative research for a WIC training program in New York State was that the study design did not adequately address which of the following components circle the best choice):
a. Individual and interpersonal level factors
b. Interpersonal and organizational level factors
c. Community and policy level factors
d. None of the above

Question 10

Which of the following are examples of primary prevention?
a. Physical therapy
b. Nutrition counseling for dialysis patients
c. Programs to promote physical exercise
d. Diabetes screening
Questions from lecture/readings: Introduction and Overview

Question 11

The social ecology of health model can be represented by which of the following choose the BEST response)?
a. The pyramid or iceberg schema
b. Diverse schema have been used to represent the model
c. Concentric or overlapping spheres
d. Vertical boxes connected by arrows

Question 12

Evidence-based public health should rely on which of the following types of evidence?
a. The best available evidence
b. Experimental evidence and clinical trials
c. A combination of qualitative and quantitative data
d. Large-scale epidemiologic data

Question 13

The Sanitary Movement of the 19th Century was a significant milestone in public health for what reason?
a. It improved living and working conditions for the urban poor.
b. It cleaned up miasmic trash accumulation in urban centers.
c. It ushered in antibiotic treatment for infectious disease.
d. It identified social determinants as fundamental causes of illness.

Question 14

Use of diverse sources of information to plan for, prevent, monitor and control disease outbreaks is an example of?
a. Multidisciplinary perspectives
b. Systems thinking in public health
c. Syndemic approach
d. Information-Motivation-Behavioral Skills model